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Idaho rates for HCPCS E2619

Replacement cover for wheelchair seat cushion or back cushion, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.04 / $54.04 / $54.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.97 / $54.04 / $66.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.06 / $39.06 / $46.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.20 / $39.06 / $46.90
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.50 / $36.97 / $61.78
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.85 / $44.76 / $59.67
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.36 / $43.64 / $44.82
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.93 / $57.93 / $96.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.12 / $30.46 / $47.88